Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932106317 Individual Practitioner Male Practitioner

Dr. Jayesh P Patel , MD

Pediatrics • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. Jayesh Patel, MD is a registered healthcare professional specializing in Pediatrics in Fort Wayne, IN. Practice services are available at 11115 PARKVIEW PLAZA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11115 Parkview Plaza Dr

Fort Wayne, IN 468451701

Telephone 2602665400
Fax 2602665405
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.5 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
57 Specialists

Practicing in Fort Wayne, IN (1179 Statewide)

Telehealth Adoption Rate
1.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-10-07
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IN 01042344A

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Pediatric Critical Care Medicine

NUCC Taxonomy Code: 2080P0203X

State License IN 01042344

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Dr. Amanda Mayle , PsyD, HSPP

Psychologist - Clinical

NPI 1003865395

Doctor of Psychology (Psy.D.), HSPP

Kristen Azzue

Physician Assistant

NPI 1043175250
Amanda Leisure , CPNP-AC, PC

Nurse Practitioner - Pediatrics

NPI 1154872653

CPNPAC, PC

Marissa Miller , NP

Nurse Practitioner

NPI 1235807686

Nurse Practitioner

Kristen Dettmer , PNP

Nurse Practitioner

NPI 1235985938

Pediatric Nurse Practitioner

Rowann Hassan

Nurse Practitioner

NPI 1275252975

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2022

Pediatrics (License #01042344 in IN)

📍
Updated Business Mailing Address July 07, 2021

Registered at 11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 468451701

NPI Profile Active February 02, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 02, 2017

Registered at 11115 PARKVIEW PLAZA DR, FORT WAYNE, IN 468451701 (Tel: 2602665400)

📍
Updated Business Mailing Address February 02, 2017

Registered at 3926 NEW VISION DR, FORT WAYNE, IN 468451712 (Tel: 2602661401)

👤
Provider Name / Credentials Updated February 02, 2017

Recorded as JAYESH PATEL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2017

Pediatrics (License #01042344A in IN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2017

Pediatrics (License #01042344 in IN)

NPI Profile Active August 25, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2016

Registered at 7429 INVERNESS COMMONS, FORT WAYNE, IN 468043837 (Tel: 2604085801)

📍
Updated Business Mailing Address August 25, 2016

Registered at 7429 INVERNESS COMMONS, FORT WAYNE, IN 468043837 (Tel: 2604085801)

👤
Provider Name / Credentials Updated August 25, 2016

Recorded as JAYESH PATEL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2016

Pediatrics (License #01042344 in IN)

🟢
Initial NPI Registration & Enumeration June 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932106317
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2005
Last Update: October 07, 2022
Sole Proprietor: No

Mailing Address

11109 Parkview Plaza Dr # 117

Fort Wayne, IN 468451701

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.